RETROSPECTIVE ANALYSIS OF INCIDENCE AND OUTCOME OF PERIPARTUM CARDIOMYOPATHY PATIENTS IN EMERGENCY OBSTERTIC CASES IN RURAL TERTIARY CARE HOSPITAL

Dr. G.VIJAYA; Dr. KANNAN BOJARAAJ

Volume : VII, Issue : XII, December - 2018

RETROSPECTIVE ANALYSIS OF INCIDENCE AND OUTCOME OF PERIPARTUM CARDIOMYOPATHY PATIENTS IN EMERGENCY OBSTERTIC CASES IN RURAL TERTIARY CARE HOSPITAL

Dr. G. Vijaya, Dr. Kannan Bojaraaj

Abstract :

Peri –partum cardiomyopathy is an idiopathic and reversible form of dilated cardiomyopathy .It is life threatening but potentially treatable heart failure affecting women during peripartum period. The aim of the study was to determine the incidence and outcome of peripartum cardiomyopathy(PPCM) patients in emergency obstetric cases over one and half year period in our college hospital. It is a retrospective observational study in emergency obstetric patient with total of 16 patients with PPCM was diagnosed in total of 10560 deliveries conducted at Government Theni Medical College Hospital between January 2017–July2018. Most of the patients are young with mean age of27.3�4.29 years ,with multigravida(62.5%).Many of them were diagnosed in postpartum period(75%).The most common risk factor was pre eclamsia(37.5%).The mean ejection fraction was found to be 30.93�7.4%.There were two maternal mortality (12.5%) and two cases refered to GRH Madurai(12.5%).Women presenting with heart failure during peripartum period should be evaluated for PPCM. Early detection and perfect management of cardiac failure provides a better prognosis.